Individual provider · Type 1 NPI
Elizabeth Jacks
Student in an Organized Health Care Education/Training Program · Sharps Chapel, TN
NPI number
1093676959
Active
Practice location
510 Sunset Vw
Sharps Chapel, TN 37866-1995
Fax (850) 797-1873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1093676959
Elizabeth Jacks's National Provider Identifier is 1093676959, issued on Nov 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sharps Chapel, TN. The record was last updated on Nov 20, 2025.